Jon D Koman
Sports Medicine Orthopaedic Surgeon
116 Westminster Pike Suite 100
Reisterstown
, Maryland 21136-1027
Jon D Koman
Sports Medicine Orthopaedic Surgeon
116 Westminster Pike Suite 100
Reisterstown
, Maryland 21136-1027
(410) 833-9300
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jon D Koman
- 116 Westminster Pike Suite 100
- Reisterstown, MD
- Zip : 21136-1027
- Phone : (410) 833-9300
Second Address
- Jon D Koman
- 116 Westminster Pike Suite 100
- Reisterstown, MD
- Zip : 21136-1027
- Phone : (410) 833-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D55676 | MD |
National Provider Identifier
| NPI | 1215925128 |
|---|---|
| Provider Name | Jon D Koman |
| First Address | Reisterstown, MD 21136-1027 |
| Second Address | Reisterstown, MD 21136-1027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 03/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 293403500 | (05) | MD |
| H17060 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.